Daniel J. Fick, M.P.T.
Individual provider Active NPI Physical Therapist · Elverson, PA
NPI 1679679385 · NPPES record last updated Jan 14, 2015
Key facts
- NPI
- 1679679385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT006501L (PA)
- Practice address
- 21 S Pine St
Heritage Medical Center
Elverson, PA 19520-9720 - Phone
- (610) 286-0977
- Fax
- (610) 286-0986
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006501L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006501L | PA | Yes |
Addresses
Primary practice location
21 S Pine St
Heritage Medical Center
Elverson, PA 19520-9720
Mailing address
430 Innovation Drive
Blairsville, PA 15717-8096
Phone (724) 343-4060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409359 | Other | PA | HIGHMARK BLUE SHIELD |
| 134938 | Other | PA | HEALTH AMER/HEALTH ASSUR. |
| 0306737000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 02990801 | Other | PA | CAPITAL/KHPC |
Other providers in Elverson, PA
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All providers in Elverson, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.